| NPI | 1841717345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-161807) |
| Additional Taxonomies | 208600000X Surgery (Licence: NE 8095) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2023-11-27 |